EISENBACH JAIME - NPI: 1619519402


Mood disorder is a group of diagnoses in the Diagnostic and Statistical Manual of Mental Disorders classification system where a disturbance in the person's mood is hypothesized to be the main underlying feature. The classification is known as mood (affective) disorders in International Classification of Diseases (ICD).

NPI: 1619519402
Entity Type: Person: individual human being who furnishes health care.
Provider First Name: JAIME
Provider Last Name: EISENBACH
Provider Gender Code: F
Provider Enumeration Date: 10/13/2019
Last Update Date: 10/13/2019

Business Address:

Provider First Line Business Mailing Address: 15745 W ELLSWORTH PL
Provider Business Mailing Address City Name: GOLDEN
Provider Business Mailing Address State Name: CO
Provider Business Mailing Address Postal Code: 80401
Provider Business Mailing Address Country Code (If outside U.S.): US
Phone: 3036194543

Mailing Address:

Provider First Line Business Practice Location Address: 4455 E 12TH AVE
Provider Business Practice Location Address City Name: DENVER
Provider Business Practice Location Address State Name: CO
Provider Business Practice Location Address Postal Code: 80220
Provider Business Practice Location Address Country Code (If outside U.S.): US
Phone: 3036194543

Primary Taxonomy:

Taxonomy Code: 171M00000X
License Number:
License State:
Healthcare Provider Primary Taxonomy Switch: Y - The taxonomy is the primary taxonomy (there can be only one per NPI record
Type: Other Service Providers
Classification: Case Manager/Care Coordinator
Definition: A person who provides case management services and assists an individual in gaining access to needed medical
Taxonomy Description: social
Source: The National Provider Identifier

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